15020107I CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10268 ORANGE AVE I CONTRACTOR: I PERMIT NO: 15020107
OWNER'S NAME: LEE ROLAND L AND SHU L
OWNER'S PHONE: 4083904941
❑/ LICENSED CONTRACTOR'S DECLARATION
License Class___ Lie. #f/
Contractor Iy I �ty j3f/. c� G�-ACS Date 5IiaO t j
I hereby affirm that I am licensed under the provisions of Chapter 9
(commencing with Section 7000) of Division 3 of the Business & Professions
Code and that my license is in full force and effect.
I hereby affirm under penalty of perjury one of the following two declarations:
I have and will maintain a certificate of consent to self -insure for Worker's
Compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
I have and will maintain Worker's Compensation Insurance, as provided for by
Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is
correct. I agree to comply with all city and county ordinances and state laws relating
to building construction, and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We) agree to save
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence of the
granting of this permit. Additionally, the applicant understands and will comply
with all non -point rce regulations per the Cupertino Municipal Code, Section
9 18. _
/natu Date /001
❑ OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale (Sec.7044,
Business & Professions Code)
I, as owner of the property, am exclusively contracting with licensed contractors to
construct the project (Sec.7044, Business & Professions Code).
I hereby affirm under penalty of perjury one of the following three
declarations:
I have and will maintain a Certificate of Consent to self -insure for Worker's
Compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
I have and will maintain Worker's Compensation Insurance, as provided for by
Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued.
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California. If, after making this certificate of exemption, I
become subject to the Worker's Compensation provisions of the Labor Code, I must
forthwith comply with such provisions or this permit shall be deemed revoked.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is
correct. I agree to comply with all city and county ordinances and state laws relating
to building construction, and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We) agree to save
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence of the
granting of this permit. Additionally, the applicant understands and will comply
with all non -point source regulations per the Cupertino Municipal Code, Section
9 18.
Date
DATE ISSUED: 02/18/2015
PHONE NO: (408) 615-1850
BUILDING PERMIT INFO- BLDG F ELECT r— PLUMB f
MECH r RESIDENTIAL F— COMMERCIAL r
JOB DESCRIPTION REMODEL (E) KITCHEN (100 ST), REMODEL 3 (E)
BATHS (140 ST) & REPLACE POST IN GARAGE
Sq. Ft Floor Area: I Valuation: $70000
APN Number: 35719117 00 1 Occupancy Type:
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM LAST CALLED INSPECTION.
Issued by:
Date:
RE -ROOFS:
All roofs shall be inspected prior to any roofing material being installed. If a roof is
installed without first obtaining an inspection, I agree to remove all new materials for
inspection.
Signature of App
Date:
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
HAZARDOUS MATERIALS DISCLOSURE
I have read the hazardous materials requirements under Chapter 6.95 of the
California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain
compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health &
Safety Code, Section 25532(a) should I store or handle hazardous material.
Additionally, should I use equipment or devices which emit hazardous air
contaminants as defined by the Bay Area Air Quality Management District I will
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
Health & Safety Code, Sections 25505, 25533, and 25534.
Owner or authorized agent:
Date:
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of work's
for which this permit is issued (Sec. 3097, Civ C.)
Lender's Name
Lender's Ad
ARCHITECT'S DECLARATION
I understand my plans shall be used as public records.
Licensed
L 1284.4
@EJL
Roland Lee
10268 Orange Ave
'Cupertino, -CA'96014
April 30, 2015
City of Cupertino
Building Department
To Whom It May Concern,
This letter is to inform you that Alfa Builders is no longer the contractor far our remodel project at
10268 Orange Ave.
The new contractor for our project is Folkers Builders, /, r X& f `11 t
Sincerely,
Boland Lee
408-390-4941
I �d
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10268 ORANGE AVE
CONTRACTOR: ALFA BUILDERS CO
PERMIT NO: 15020107
OWNER'S NAME: LEE ROLAND L AND SHU L
650 CLARA VISTA AVE
DATE ISSUED: 02/18/2015
OWN'S PHONE: 4083904941
SANTA CLARA, CA 95050
PHONE NO: (408) 615-1850
JOB DESCRIPTION: RESIDENTIAL � COMMERCIAL
LICENSED CONTRACTOR'S DECLARATION
REMODEL (E) KITCHEN (100 S.F.), REMODEL 3 (E)
License Class _ Lic. # 'D �
BATHS (140 S.F.) & REPLACE POST IN GARAGE
oll D /`
Contractor 'tel conol``
—Date
I hereby affirm that I am licensed under the provisions of Chapter 9
(commencing with Section 7000) of Division 3 of the Business & Professions
Code and that my license is in full force and effect.
I hereby affirm under penalty of perjury one of the following two declarations:
I have and will maintain a certificate of consent to self -insure for Worker's
Compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
Sq. Ft Floor Area: Valuation: $70000
I have and will maintain Worker's Compensation Insurance, as provided for by
Section 3700 of the Labor Code, r the performance of the work for which this
APN Number: 35719117.00 Occupancy 7�ype:
permit is issued.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is
PERMIT EXPIRES IF WORK IS NOT STARTED
correct. I agree to comply with all city and county ordinances and state laws relating
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
to building construction, and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We) agree to save
180 DAYS FROM LA ' ED INSPECTION.
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
the
t S
costs, and expenses which may accrue against said City in consequence of
I Date:
granting of this permit. Additionally, the applicant understands and will comply
with all non -point source regulations per the Cupertino Municipal Code, Section
9.18.
�
Signature c / Date
RE -ROOFS:
All roofs shall be inspected prior to any roofing material being installed. If a roof is
installed without first obtaining an inspection, I agree to remove all new materials for
inspection.
❑ OWNER -BUILDER DECLARATION
Signature of Applicant: Date: _
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons:
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale (Sec.7044,
Business & Professions Code)
I, as owner of the property, am exclusively contracting with licensed contractors to
HAZARDOUS MATERIALS DISCLOSURE
construct the project (Sec.7044, Business & Professions Code).
1 have read the hazardous materials requirements under Chapter 6.95 of the
California Health & Safety Code, Sections 25505, 25533, and 25534. I will
I hereby affirm under penalty of perjury one of the following three
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
declarations:
Health & Safety Code, Section 25532(a) should I store or handle hazardous
I have and will maintain a Certificate of Consent to self -insure for Worker's
material. Additionally, should I use equipment or devices which emit hazardous
Compensation, as provided for by Section 3700 of the Labor Code, for the
air contaminants as defined by the Bay Area Air Quality Management District I
performance of the work for which this permit is issued.
will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance, as provided for by
the Health & Safety Code, Sections 25505, 25533, and 25534.
Section 3700 of the Labor Code, for the performance of the work for which this
p
C
Owner or authorized agent: i �1% `%��_ Date:
permit is issued.
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to the Worker's
CONSTRUCTION LENDING AGENCY
Compensation laws of California. If, after making this certificate of exemption, I
become subject to the Worker's Compensation provisions of the Labor Code, I must
I hereby affirm that there is a construction lending agency for the performance of
forthwith comply with such provisions or this permit shall be deemed revoked.
work's for which this permit is issued (Sec. 3097, Civ C.)
Lender's Name
APPLICANT CERTIFICATION
Lender's Address
I certify that I have read this application and state that the above information is
correct. I agree to comply with all city and county ordinances and state laws relating
to building construction, and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We) agree to save
ARCHITECT'S DECLARATION
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence of the
I understand my plans shall be used as public records.
granting of this permit. Additionally, the applicant understands and will comply
with all non -point source regulations per the Cupertino Municipal Code, Section
Licensed Professional
9.18.
Signature Date
CUPERTINO
M
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • building(ftupertino.org
I-1 I I AI 'MD ATTnXT / TT I I DT71JTeT"XT / nUVWDDT:TI (1DTf:T11,TAI PI V WAIT 1!
PROJECT ADDRESS 7 / p
APN I
OWNERNAME
O\ V\ _I
PHONE �h� LSO _ { I (�
VC
IcA1
E-MAIL rc> a VX but d. C,
[-
STREET ADDRESS 104
0(� / �K D C -Q
CITY, STATE, ZIP`a / FAX
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pt
CONTACT NAMEE-MAIL`
/� n
r
STREET ADDRESS (rte r(1 1[, /y �p 1 j `*
V❑1
CITY, STA II Cc n r� /*� FAX
/
OWNER ❑ OWNER -BUILDER OWNER AGENT Q CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRA[ 1
EN,M
LICEN�v('TYPE
BUS. LIC # 3 6 0 2
COMPANYAM W(C&12" S Lo
E-MAIL
• ► f 1
W
STREET ArS n'
(,
[TTY, 'ATV �' V� '� P
Pwa
ARCHITECT/ENGINEER NAME
LICENSE NUMBBEEjR
BUS. LIC N
COMPANY NAME
E-MAIL
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
DESCRIPTION OF WORK
EXISTING USE
PROPOSED USE CONSTR.
TYPE
11S' 113RES
USE
TYPE
OCC.
SQ.FT.
VALVA"PION ($)
EXISTG
NEW FLOOR
DEMO
TOTAL
AREA
AREA
AREA
NET AREA
BATHROOM
REMODEL AREA /
KITCHEN O
REMODEL AREA tREMODEL
OTHER
AREA
PORCH AREA
DECK AREA
TOTAL DECK/PORCH AREA
GARAGE AREA: DETACH
❑ ATTACH
N DWELLING UNITS:
IS A SECOND UNIT ❑ YES
BEING ADDED? ONO
SECOND STORY ❑ YES
ADDITION? ❑NO
PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF
PLANNING APPL H ❑ NO PLANNING APPROVAL LETTER
IS THE BLDGAN YES V
EICHLER HOME? _ _ -
TOTAL V ALT IATION:
O 00
By my signature below, I certify to each of the following: I am the property owner ora prized agerTto act on erty owner's behalf.- I have read this
application and the information I have provided is correct. I have read the Description of Work arrs accurate. I agree to comply with all applicable local
ordinances and state laws relating to building constructi I authorize resen e f Cupertino to enter the above-identiifi property for inspection purposes.
Signature of Applicant/Agent: Date: 144 a /T
SUPPLEMENTAL INF TION REQUIRED
PLAN CHECK TYPE
ROUTING SLIP
❑ OVER-THE-COUNTER
❑ BUILDING PLAN REVIEW
_ New SFD or Multifamily dwellings: Apply for demolition permit for
existing building(s). Demolition permit is required prior to issuance of building
permit for new building.
❑ EXPRESS
❑ PLANNING PLAN REVIEW
Commercial Bldgs: Provide a completed Hazardous Materials Disclosure
❑ STANDARD
11PUBLIC WORKS
form if any Hazardous Materials are being used as part of this project.
❑ LARGE
❑ FIRE DEPT
_ Copy of Planning Approval Letter or Meeting with Planning prior to
❑ MAJOR
❑ SANITARY SEWER DISTRICT
submittal of Building Permit application.
❑ ENVIRONMENTAL HEALTH
Bldg4pp_2011.doc revised 06/21/11
It
"Co/
��.,�, CITY OF CUPERTINO
�1 FF.F. F,CTIMATOR - BUILDING DIVISION
NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School
n-f—"i of, ► Thoco fooc oro hacod nn rho nr,,Hjninary infarmatian availahlo and are nnlv an estimate. Contact the Dent for addn'l info.
FEE ITEMS (Fee Resolution 11-053 Eff. 7/1/13)
ADDRESS: 10268 ORANGE AVE DATE: 02118/2015
REVIEWED BY: MELISSA
MISC ITEMS
APN: 35719117
''Iatmn, Permit I't'.':
BP#: Q
?tftcr ;Lfern, Ins,;
-VALUATION: 1$70,000
*PERMIT TYPE: Building Permit
n. las/=. F1'e
PLAN CHECK TYPE:
Alteration / Repair
PRIMARY SFD or Duplex
USE:
PME Plan Check:
$0.00
= s.f.
$645.00
PENTAMATION 1R3SFDREM
PERMIT TYPE:
WORK
REMODEL E KITCHEN
100 S.F. , REMODEL 3 E BATHS
140 S.F. & REPLACE POST IN
SCOPE
GARAGE
$0.00
NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School
n-f—"i of, ► Thoco fooc oro hacod nn rho nr,,Hjninary infarmatian availahlo and are nnlv an estimate. Contact the Dent for addn'l info.
FEE ITEMS (Fee Resolution 11-053 Eff. 7/1/13)
FEE
QTY/FEE
MISC ITEMS
tcch, Per>nit Fee:
''Iatmn, Permit I't'.':
$0.00
?tftcr ;Lfern, Ins,;
Curt; r .p atml> hasp,LJ I
n. las/=. F1'e
Pl arnfi b sf:..7 ec>
ff'fec. 7 r:, . Fee:
NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School
n-f—"i of, ► Thoco fooc oro hacod nn rho nr,,Hjninary infarmatian availahlo and are nnlv an estimate. Contact the Dent for addn'l info.
FEE ITEMS (Fee Resolution 11-053 Eff. 7/1/13)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$0.00
F__100_1 s.f.
$645.00
Remodel, Kitchen (<=300 sf)
IREMRESKIT
Suppl. PC Fee: 0 Reg. ® OT
0.0
lirs
$0.00
PME Plan Check:
$0.00
= s.f.
$645.00
Remodel, Bath (<=300 sf)
IREMRESBAT
Permit Fee: Hourly Only? 0 Nes (E) No
$0.00
Suppl. Insp. Fee -0 Reg. Q OT
0.0
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
C'onstruction TCU"
tintinistrari e 1 ('t':
4
0
Work Without Permit? 0 Yes (D No
$0.00
Advanced Planning Fee.
$0.00
Select a Non -Residential
Building or Structure
E)
I reivel.Documentcation l° i'e's:
Strong Motion Fee: 1BSEISMICR
$9.10
=hrs
$143.00
Inspections
ISTINSP 7 Inspection, Hourly
31dg Stds Commission Fee: 1BCBSC
S3.001
SUBTOTALS:
$12.101$1,433.001
TOTAL FEE:
1 $1,445.10
Revised: 02/14/2015
CUPERTINO
CONTRACTOR / SUBCONTRACTOR LIST
Building Department
City Of Cupertino
10300 Torre Avenue
Cupertino, CA 95014-3255
Telephone: 408-777-3228
Fax: 408-777-3333
JOB ADDRESS: /0;96V-
PERMIT # 15020
OWNER'S NAME:
PHONE # D c-( Z
GENERAL CONTRACTOR: �' vt�
BUSINESS LICENSE #
ADDRESS: 6 6 �, C� '�' �/ .
CITY/ZIPCODE: �., c�� C qW
*Our municipal code requires all businesses working in the city to have a City of Cupertino business license.
NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE
GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO
BUSINESS LICENSE.
I am not using any subcontractors:
Signature
Please check applicable subcontractors and complete the following information:
Date
Owner / Contractor Signature
Date
3
SUBCONTRACTOR
BUSINESS NAME
BUSINESS LICENSE #
Cabinets & Millwork
Cement Finishing
Electrical
�P 6 —7 i 3
Excavation
Fencing
Flooring / Carpeting
Linoleum / Wood
Glass / Glazing
Heating
Insulation
Landscaping
Lathing
Masonry
Painting / Wallpaper
Paving
Plastering
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Tile
Owner / Contractor Signature
Date
3
7
CUPERTINO
WATER -CONSERVING PLUMBING FIXTURES
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • building(a)cupertino.orq
Owner Name R6 t C-� L -C Permit No. 150 9c) ( 07
Address NAC
Jr
PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE
HAS BEEN SIGNED AND RETURNED TO THE BUILDING DIVISION
Please refer to the attached California Civil Code Sections 1101.1— 1101.8 which are part of this Certification form.
1. Is your real property a registered historical site?
❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form.
Owner' Signature: Date:
'�(No Go to Question 2.
2. Does your real property have a licensed plumber certifying that, due to the age or configuration of the property or its
plumbing, installation of water -conserving plumbing fixtures is not technically feasible?
❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply.
❑ The licensed plumber's certification has been provided to the Building Division.
Sign below and skip the rest of the form
Owner' Signature:
5(No Go to Question 3.
Date:
3. Is water service permanently disconnected for your building?
❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form.
Owner' Signature:
No Go to Question 4.
Date:
4. Is ur real property built and available for use or occupancy on or before January 1, 1994?
No My real property is built and available for use or occupancy after January 1, 1994.
Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form.
Owner' Signature: Date:
es My real property is built and available for use or occupancy on or before January 1, 1994.
— / Civil Code Sections 1101.1 through 1101.8 apply. Refer to the attached.
COY My property is a single-family residential real property. See Civil Code Section 1101.4.
On and after January 1, 2014, building alterations or improvements shall require all non-compliant plumbing
fixtures to be replaced with water -conserving plumbing fixtures throughout the building. On or before January 1,
2017, all non-compliant plumbing fixtures shall be replaced with water -conserving plumbing fixtures (regardless
of whether property undergoes alterations or improvements).
❑ My property is a multifamily residential real property. See Civil Code Section 1101.5.
On and after January 1, 2014, specified building alterations or improvements shall require non- compliant
plumbing fixtures to be replaced with water -conserving plumbing fixtures.
On or before January 1, 2019, all non-compliant plumbing fixtures shall be replaced with water -
conserving plumbing fixtures throughout the building (regardless of whether property undergoes alterations or
improvements).
❑ My property is a commercial real property. See Civil Code Section 1101.5.
On and after January 1, 2014, specified building alterations or improvements shall require non- compliant
plumbing fixtures to be replaced with water -conserving plumbing fixtures.
SB40 7 2014. doc revised 03/18/14
On or before January 1, 2019, all non-compliant plumbing fixtures shall be replaced with water- conserving
plumbing fixtures throughout the building (regardless of whether property undergoes alterations or
improvements).
Blfc, the owner(s) of this property, certify under penalty of perjury that non-compliant plumbing fixtures have been replaced
with water -conserving plumbing fixtures in accordance with Civil Code Sections 1101.1 through 1101.8, the current
California Plumbing Code and Califomia Green Building Standards Code, and manufacturer's installation requirements, and
that the Nvater-conservinglunibin fixtures comply with the requ'remen s i ted in the table below.
Owners (or Owner Agent's) Signature: 1— Date: -
Upon completing and signing this Certificate, please return it to the Building Division nn order to final your permit.
If the existing plumbing fixture water usage/flow rate is equal to or lower Tuan the tlgure snown, it is not requirea to be upgraaea.
SB4072014.docrcvdsed 03/18114
Non -Compliant
Water -Conserving Plumbing Fixture
Plumbing Fixture!
(Fixture Complying with Current Code Applicable to New Construction)
Maximum
Water Usage/Flow Rate
Fixture Type
2013 CPC Ch. 4
2013 CPC Ch. 4
2013 CPC Ch. 4
Water Usage
2013 CALGreen Div. 4.3
2013 CALGreen Div. 4.3
2013 CALGreen Div. 5.3
!Flow Rate
Single -Family
Multi -Family
Commercial
Residential
Residential
Water Closets
Exceed 1.6
Single flush toilets: 1.28 gallons/flush
(Toilets)
Gallons/flush
Dual flush toilets: 1.28 gallons/flush effective flush:volume (the composite,
average flush volume of two reduced flushes and one full flush
Urinals
Exceed 1.0
0.5 gallons/flush
Gallons/flush
Showerheads
Exceed 2.5
2.0 gallons per minute @ 80 psi. Also certified to the performance criteria of
gallons per minute
U.S. EPA WaterSense Specification for Showerheads
(A hand-held shower is considered a showerhead.)
For multiple showerheads serving one shower, the combined flow rate of all
showerheads and/or other shower outlets controlled by a single valve shall not
exceed 2.0 gallons per minute @ 80 psi, or the shower shall be designed to
allow only one shower outlet to be Inoperation at a time,
Faucets—
Exceed 2.2 gallons
Maximum 1.5 gallons per
Within units:
0.5 gallons per minute @ 60
Lavatory
per minute
minute @ 60 psi; minimum
Maximum 1.5 gallons
psi
Faucets
0.8 gallons per minute @
per minute @ 60 psi;
20 psi
minimum 0.8 gallons
per minute @ 20 psi
In common and public
use areas: 0.5 gallons
per minute @ 60 psi
1.8 gallons per minute
60 sl
Faucets —
Exceed 2.2 gallons
1.8 gallons per minute @
1.8 gallons per minute
1.8 gallons per minute @ 60
Kitchen
per minute
60 psi
@ 60 psi
psi
Faucets
May temporarily increase
May temporarily
up to 2.2 gallons per
increase up to 2.2
minute @ 60 psi, and must
gallons per minute @
default to maximum
60 psi, and must
1.8 gallons per minute @
default to maximum
60 psi
1.8 gallons per minute
Where faucets meeting
@ 60 psi
the above are unavailable,
Where faucets meeting
aerators or other means
the above are
may be used to achieve
unavailable, aerators or
reduction,
other means may be
used to achieve
reduction.
If the existing plumbing fixture water usage/flow rate is equal to or lower Tuan the tlgure snown, it is not requirea to be upgraaea.
SB4072014.docrcvdsed 03/18114
CUPERTINO
Address
SMOKE / CARBON MONOXIDE ALARMS
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • building(5cupertino.org
PURPOSE
This affidavit is a self -certification for the installation of all required Smoke and Carbon Monoxide Alarms for
compliance with 2013 CRC Section R314,2013 CBC Sections 420.6 and 907.2.11.2 where no interior access for
inspections are required.
GENERAL INFORMATION
Existing single-family and multi -family dwellings shall be provided with Smoke Alarms and Carbon
Monoxide alarms. When the valuation of additions, alterations, or repairs to existing dwellinc, units exceeds
$1000.00, CRC Section R314 and CBC Sections 907.2.11.5 and 420.6 require that Smoke Alarms and/or Carbon
Monoxide Alarms be installed in the following locations:
AREA
SMOKE ALARM
CO ALARM
Outside of each separate sleeping area in the immediate vicinity of the
bedroom(s)
X
X
On every level of a dwelling unit including basements
X
X
Within each sleeping room
X
Carbon Monoxide alarms are not required in dwellings which do not contain fuel -burning appliances and that
do not have an attached garage. Carbon monoxide alarms combined with smoke alarms shall comply with
CBC Section 420.6 and shall be approved by the Office of the State Fire Marshal.
Power Supply: h -i dwelling units with no commercial power supply, alarm(s) may be solely battery operated.
In existing dwelling units, alarms are permitted to be solely battery operated where repairs or alterations do
not result in the removal of wall and ceiling finishes or there is no access by means of attic, basement or crawl
space. Refer to CRC Section R314 and CBC Sections 907.2.11.4 and 420.6.2. An electrical permit is required for
alarms which must be connected to the building wiring.
As owner of the above -referenced property, I hereby certify that the alarm(s) referenced above has/have been
installed in accordance with the manufacturer's instructions and in compliance with the California Building
and California Residential Codes. The alarms have been tested and are operational, as of the date signed
below.
1 have read and agree to comply with the terms and conditions of this statement
Owner (or Owner Agent's) Name:
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Sinature.. .. ..... —...................................................................... Date:!..4�.�
ContractorName:
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Signatu ...... ................................................. Lic.# ....l,J..!V..Y.. .... Date:
Smoke and COform.doc revised 03/18/14
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